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August 2003, Vol 93, No. 8 | American Journal of Public Health 1253-1260
© 2003 American Public Health Association

PUBLIC HEALTH MATTERS

Should the Centers for Disease Control and Prevention’s Childhood Lead Poisoning Intervention Level Be Lowered?

Susan M. Bernard, JD, DrPH, MPH

At the time of this study, the author was with the Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.

Correspondence: Requests for reprints should be sent to Susan M. Bernard, JD, DrPH, MPH, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Suite 7041, Baltimore, MD 21205 (e-mail: sbernard{at}jhsph.edu).

The US Centers for Disease Control and Prevention (CDC) in 1991 chose 10 µg/dL as an initial screening level for lead in children’s blood.

Current data on health risks and intervention options do not support generally lowering that level, but federal lead poisoning prevention efforts can be improved by revising the follow-up testing schedule for infants aged 1 year or less with blood lead levels of 5 µg/dL or higher; universal education about lead exposure risks; universal administration of improved, locally validated risk-screening questionnaires; enhanced compliance with targeted screening recommendations and federal health program requirements; and development by regulatory agencies of primary prevention criteria that do not use the CDC’s intervention level as a target "safe" lead exposure.




This article has been cited by other articles:


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 Am. J. Public HealthHome page
H. L. Needleman and P. J. Landrigan
WHAT LEVEL OF LEAD IN BLOOD IS TOXIC FOR A CHILD?
Am J Public Health, January 1, 2004; 94(1): 8 - 8.
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 Am. J. Public HealthHome page
M. J. Brown and P. J. Meehan
HEALTH EFFECTS OF BLOOD LEAD LEVELS LOWER THAN 10 MG/DL IN CHILDREN
Am J Public Health, January 1, 2004; 94(1): 8 - 9.
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 PediatricsHome page
S. M. Bernard and M. A. McGeehin
Prevalence of Blood Lead Levels "=" BORDER="0">5 {micro}g/dL Among US Children 1 to 5 Years of Age and Socioeconomic and Demographic Factors Associated With Blood of Lead Levels 5 to 10 {micro}g/dL, Third National Health and Nutrition Examination Survey, 1988-1994
Pediatrics, December 1, 2003; 112(6): 1308 - 1313.
[Abstract] [Full Text] [PDF]


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